RYAN JOSEPH NOVAK
NPI 1477320190
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Hannibal, MO

Q: What is Ryan Novak's NPI number?

The NPI number for Ryan Novak is 1477320190. It was assigned to this individual provider in the NPPES registry on December 4, 2023.

Q: What is Ryan Novak's specialty?

The primary specialty registered for this NPI is Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320900000X.

Q: When was this NPI record last updated?

The NPPES record for Ryan Novak was last updated on December 4, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since December 04, 2023

4158 WOODRIDGE DR, HANNIBAL, MO 63401(573) 719-7717 Get Directions Write a Review

NPPES record last updated: December 4, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Ryan Joseph Novak NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

RYAN JOSEPH NOVAK (NPI 1477320190) is an individual community based residential treatment facility, intellectual and/or developmental disabilities provider in Hannibal, Missouri and active in the NPI registry since December 2023.

NPPES Registry Identity

NPI1477320190

Entity TypeIndividualMale

Primary Taxonomy320900000X

Provider Legal NameRYAN JOSEPH NOVAK

Location Address4158 WOODRIDGE DRHannibal, MO 63401-6248

Mailing Address4158 Woodridge DrHannibal, MO 63401-6248

Phone(573) 719-7717

Sole ProprietorYes

Enumeration DateDecember 4, 2023

NPPES CertifiedDecember 4, 2023

✔ NPI 1477320190 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity Based Residential Treatment Facility, Intellectual and/or Developmental DisabilitiesResidential Treatment Facilities

Taxonomy Code320900000X

Definition

A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities.

4158 WOODRIDGE DR, Hannibal, MO 63401

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Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

NOVAK CARE LLC

Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities

4158 WOODRIDGE DR
HANNIBAL, MO 63401

Marion County (573) 719-7717

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ryan Novak's NPI number?

The NPI number for Ryan Novak is 1477320190. It was assigned to this individual provider in the NPPES registry on December 4, 2023.

Where is Ryan Novak located?

Ryan Novak practices at 4158 Woodridge Dr, Hannibal, MO 63401. The listed phone number is (573) 719-7717.

What is Ryan Novak's specialty?

The primary specialty registered for this NPI is Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320900000X.

When was this NPI record last updated?

The NPPES record for Ryan Novak was last updated on December 4, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.